PubMed Health⌕ Search

Biomedical subjects

M F Berkey

Publications and source records attributed to M F Berkey.

4 recordsLinked to original sources

Tailoring a corporate compliance program for an IDS.

Integrated delivery systems (IDSs) face a particular challenge in implementing a corporate compliance program--that of ensuring the program addresses issues of compliance with payment rules and regulations consistently across every component of the health system. To successfully implement an effective compliance program, the various components of the IDS first must understand what such a program is intended to accomplish, and any internal resistance to developing the program must be overcome. The IDS then can undertake identifying and assessing areas of the health system at risk of being in noncompliance, designing and implementing the program, auditing claims processing and cost reporting throughout the health system to ensure systemwide compliance, and maintaining the program through ongoing monitoring and training.

Costs and Cost Analysis↗

Providers with HIV/AIDS--a new dilemma.

Recently, a great deal of attention has been focused on health care providers who have or may have the human immunodeficiency virus or, as it is known in its later stages, acquired immunodeficiency syndrome. This article explores some of the duties physicians have, or soon may have, to their patients and employers in the areas of testing, disclosure, and practice restraints.

Acquired Immunodeficiency Syndrome↗

Providers with HIV/AIDS--a new dilemma.

Recently, a great deal of attention has been focused on health care providers who have or may have the human immunodeficiency virus or, as it is known in its later stages, acquired immune deficiency syndrome. This article explores some of the duties physicians have, or soon may have, to their patients and employers in the areas of testing, disclosure, and practice restraints.

Acquired Immunodeficiency Syndrome↗

Related parties? But I hardly know the guy.

When Medicare's auditors determine that a provider is "related" to a supplier of services, to the landlord of the provider's premises, or to the seller of provider assets, costs allowable under the Medicare program are usually limited to actual costs incurred by the related party rather than the higher charges or fees the provider paid. This article will discuss the criteria used by the Medicare program to determine related parties and the available exceptions and special application situations that impact on that determination.

Conflict of Interest↗